Active NPI
Hannah Frye, CFY-SLP
- Speech-Language Pathologist
- Decorah, IA
National Provider Identifier
1639751670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 108802
- Practice address
- 901 Montgomery St
Decorah, IA 52101-2325 - Phone
- (563) 382-2911
- NPI assigned
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 108802 | IA | Primary |
Addresses
Primary practice location
901 Montgomery St
Decorah, IA 52101-2325
Mailing address
2144 Pole Line Rd
Decorah, IA 52101-7806
Phone (563) 568-7171
Other practice location 1
1010 N Elm St
Cresco, IA 52136-1096
Phone (563) 547-2364
Other practice location 2
235 8th Ave W
Cresco, IA 52136-1062
Phone (563) 547-2101
Other names 1
- Hannah Fahey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108802 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1639751670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2144 POLE LINE RD",
"city": "DECORAH",
"state": "IA",
"postal_code": "521017806",
"telephone_number": "563-568-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-382-2911"
}
],
"practiceLocations": [
{
"address_1": "1010 N Elm St",
"address_purpose": "LOCATION",
"city": "Cresco",
"state": "IA",
"postal_code": "521361096",
"country_code": "US",
"telephone_number": "563-547-2364",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 8th Ave W",
"address_purpose": "LOCATION",
"city": "Cresco",
"state": "IA",
"postal_code": "521361062",
"country_code": "US",
"telephone_number": "563-547-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRYE",
"first_name": "HANNAH",
"credential": "CFY-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "108802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "FAHEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.